| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,171 |
808 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
421 |
322 |
$20K |
| 80053 |
Comprehensive metabolic panel |
1,077 |
942 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
160 |
158 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
68 |
$2K |
| 87449 |
|
91 |
85 |
$2K |
| 85027 |
|
235 |
193 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$1K |
| 87430 |
|
55 |
54 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
174 |
163 |
$962.95 |
| 99070 |
|
360 |
226 |
$881.07 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
29 |
$737.01 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
40 |
$702.20 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$684.94 |
| 85007 |
|
228 |
188 |
$508.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
49 |
$463.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
21 |
$453.05 |
| 81000 |
|
75 |
70 |
$356.28 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
318 |
278 |
$291.03 |
| 80061 |
Lipid panel |
15 |
15 |
$246.08 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$149.52 |
| J2704 |
Injection, propofol, 10 mg |
582 |
307 |
$32.54 |
| 36415 |
Collection of venous blood by venipuncture |
1,891 |
1,574 |
$18.68 |
| 81015 |
|
61 |
57 |
$17.08 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
33 |
25 |
$11.67 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
277 |
183 |
$4.08 |